| NPI | 1770916884 |
|---|---|
| Former Name | JENNIFER L SMOTHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-76072-051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-99077) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2026-01-23 |